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HomeMy WebLinkAbout0003319-HVAC (furnace) � _ CITY OF OSHKOSH No _ 03319 PERMIT APPLICATION AND RECORD TYPE: BLDG ❑ HTG �1 ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT / - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS ��-�� L�� `� ,Z����' PLAN NO. OWNER�// {2�'/ � eL� / � DESIGNER USE/NATURE OF WORK �C�° f"'l/j''/i/O/_'� —' �-,��5 • BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Foundation Class of Const. Occupancy Permit HEATING CONTRACTOR ` �.. Heat A/C ❑ Vent ❑ Fuel/System ��= Heat Loss � � BTU'S � ELECTRIC CONTRACTOR Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps Fixtures Switches Receptacles Circuits PLUMBWG CONTRACTOR —BT —WH Disp —WSoft —CBasin —Lav _Sh —DW —DF _San. Sewer —WC —FDr —SP —Ur —Storm Sewer —Sink LTub Eject —SS —Water Other FEES: Valuation $ � • �� Permit Fee Paid $ � �� Park Dedication $ ISSUED BY � Date Final/O.P. � � �'�7 In the performance of this work I agree to perform all work pursuant to rules governing the described construction. __.. �!/l/1 ,, SIGNATURE �L AGENT/OWNER D TE � ADDRESS TELEPHONE# . � PER.*tIT Y0. D 7 ��'% APPL. DATE. c� / r1DDRESS ' v OLdI�TER !?l�% Z°�7 vATURE OF WORIC � � � C� :IEATI�IG CO CTOR .� � �" - FUEL: OIL ELEC. SOLAR SOLID CONDITSONING ORCED AIR H.W. ELEC. BASE. STfi'rL�I SYSTEM g�IANT SUPPL. A/C VENT �I�Y� ' "B" DIRECT VENT CON.BURNER C?,I.CULATED HEAT LOSS ^ C � SYSTEM BTU RATING C� �SISC. INSP. ROUGH I:1 FINAL '� EST. COST�i/�jQO. �O pERMIT FEES /S , DATE PD RE:4ARKS